SOCIAL WORKER MSW PER DIEM

US:NV:Carson City Case Management

Per Diem Day Shift

Summary

• This individual is responsible to facilitate care through the continuum utilizing effective resource coordination to promote optimal access to care balancing the patients' resources and right to self-determination
• The overall responsibility to assess the patient for transition of care needs and risk for readmission
• This individual will be able to conduct complex psycho-social assessments and provide interventions to assist with throughput, safe discharges and avoid readmissions
• Has focus on complex social and post-acute care services

Qualifications

Required:

• Master in Social Work from accredited school of Social Work
  • Excellent interpersonal, written and verbal communication skills
  • Demonstrated organizational skills, critical thinking and problem solving skills and computer literacy
  • Unrestricted licensure in the State of Nevada in one of the following:
    • Licensed Social Worker (LSW)
    • Licensed Masters Social Worker (LMSW)
    • Licensed Clinical Social Worker (LCSW)

Preferred:

• Two (2) years of acute care coordination experience
• Ability to obtain Accredited Case Manager (ACM) certification

Essential Functions

• Transition Management
  • Completes initial /comprehensive assessment within 24 hours of admission, including anticipated transition (discharge) plan
  • Provides psycho-social assessment and intervention for patients identified with behavioral health issues, lack of social support systems, financial barriers, end of life and plan of care adherence
  • Ensures plan of care and interventions are implemented and communicated to health care team, patient/family and post-acute care providers
  • Complete timely, accurate and concise documentation in the Electronic Medical Record
• Care Coordination
  • Screens high risk and referred patients for psycho-social issues/barriers, that may impact the transition plan and intervenes as appropriate
  • Assists with adoption/abuse/neglect cases and reports to appropriate external agencies as required
  • Collaborates with patient/family/health care team to ensure patient preferences and choices are taken into consideration within the limitations of available resources
• Education
  • Ensure patient/ family receive education appropriate to their specific discharge plan
  • Provides education to medical and nursing staff regarding relevant issues related to transition plan
  • Precepts new staff members and acts as resource to all staff
• Compliance
  • Ensures compliance with local, state and federal regulations and accreditation requirements
  • Operates within social work scope of practice as defined by the state licensing board
  • Participates in department Quality improvement initiatives
• Complex Case Management
  • Completes clear, concise and accurate initial/discharge planning/complex psycho-social assessments and reassessments per departmental guidelines (assessments within 24 hours of admission, reassessments every 3 days or as needed for change)
  • Escalates barriers to transition planning per departmental escalation plan
  • Completes post-acute referrals within 3 days of admission
  • Schedules and facilitates complex case patient/family conferences as needed (at a minimum of weekly)
• Performs other related duties as assigned.